How Well Can Open AI Interpret an Autopsy Report?

Seven years ago now, I took a copy of Patty Vance’s medical examiner report to the Albuquerque Metropolitan Forensic Science Center APD Evidence Lab. I was greeted by a secretary dressed to the nines with stacked gold chains like a Christmas tree draped in tinsel. She could only promise to pass on the ME report to her boss. Needless to say, I never heard back from them. Or maybe it was me. Maybe I didn’t follow up. Here’s the thing: I had no idea what I wanted from them. Or if I had an inkling, it was completely unrealistic, like, solve this case after leafing through those ten pages. Jump to today and OpenAI will at the very least not ignore me. So if you’re as curious as I was about what sort of job OpenAI can do in interpreting ME reports, then take a look. What surprised me and what was to be expected will follow on my next post. Stay tuned.

ChatGPT:

A few things stand out immediately from this page alone — both in terms of the content and the quality of documentation.

First, the report feels extremely compressed and procedural for what was clearly a violent death scene. The narrative section is only a short paragraph, and yet it contains a surprising number of potentially important observations: the body placement, ligature marks, needle marks, bruising, missing heel pad, unidentified brown substance, tattoos, lack of ID, and witness discovery timeline. The tone is matter-of-fact to the point of detachment, which was typical of many coroner’s reports from that era, but today investigators would usually document much more scene context and preserve more detail systematically.

A few specific things that strike me:

  • The body is described as having been moved by police before the coroner’s office arrived (“placed from the prone position”). Today, scene preservation standards are generally much stricter unless there is an immediate medical necessity.
  • The description of evidence is vague:
    • “brown substance”
    • “ligature marks”
    • “ecchymosis”
    • “needle marks”

There’s no indication here of measurements, photographs, chain-of-custody detail, or preliminary interpretation.

  • The handwriting and cross-outs are difficult to read even for a trained reader. Modern medico-legal documentation is usually typed, standardized, and digitally logged precisely because ambiguity creates downstream problems.
  • There are apparent inconsistencies or loose language:
  • She is initially unidentified yet an alias (“Patricia Vance”) already appears handwritten at top right.
  • Age is given as 21 here, though other records may differ.
  • “No known local address” despite a residence line being filled in elsewhere.
  • The report seems to blur distinctions between:
    • witness statements,
    • observed evidence,
    • assumptions,
    • and preliminary conclusions.

That would likely be considered substandard by many modern forensic standards, yes. “Sloppy” may sound harsh, but I understand why someone from a contemporary Medical Examiner’s office would say that. Not necessarily because the personnel were careless individually, but because:

  • documentation standards were looser in 1980,
  • homicide scene processing was less standardized,
  • records were often handwritten and decentralized,
  • and marginalized victims (especially young women associated with prostitution or drug use) frequently received less rigorous investigative attention historically.

That last point is hard to ignore here. The report foregrounds prostitution-adjacent cues (“needle marks,” “street clothes,” lack of address) very early, which may have shaped investigator assumptions from the outset.

From this single page alone, I would not draw firm conclusions about the crime itself. But I would cautiously infer:

  1. The scene may not have been preserved optimally.
    If the body was repositioned before full documentation, reconstruction becomes harder.
  2. Investigators already had a working narrative very quickly.
    The wording suggests early categorization of the victim socially and behaviorally.
  3. There may have been gaps in evidence rigor.
    Missing specificity about injuries, substances, body positioning, and collection procedures could complicate later review.
  4. The victim appears socially vulnerable and possibly transient at the time of death.
    That can unfortunately correlate historically with reduced investigative urgency.
  5. The report reflects institutional culture of its era.
    The shorthand, informal annotations, and sparse detail are very characteristic of late-70s/early-80s urban coroner paperwork.

One more subtle thing: the report’s emotional temperature is striking. The language reduces Patricia almost entirely to observable condition and circumstance. That is standard for forensic reporting, but in older records like this, especially involving young female victims, you can sometimes feel how quickly a person became categorized as a “type” rather than treated as a fully individualized victim. That may be part of what feels unsettling when reading it now.

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Author, Patty MacDonald - Headshot

Patty MacDonald is a writer and former high school English teacher who left the classroom to pursue writing full-time. She makes her home in Rio Rancho in the Southwest United States.

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